Quiz:L4E uropathology (2014)

This is a little quiz to test your knowledge of Level 4 equivalent!

1 Benign orchiectomy submitted in 10 blocks. L4Es?

	10 L4E
	3.33 L4E
	5 L4E
	2 L4E

2 Prostate biopsy consisting of 12 cores. L4Es?

	6 L4E
	12 L4E
	4 L4E
	5 L4E

3 Benign bladder biopsy consisting of 2 frags. L4Es?

	4 L4E
	0.67 L4E
	2 L4E
	1 L4E

4 Kidney biopsy with 2 cores for tumour. L4Es?

	0.5 L4E
	1 L4E
	2 L4E
	0.67 L4E

5 Prostate biopsy with 14 cores. L4Es?

	7 L4Es
	14 L4Es
	4.67 L4Es
	5.84 L4Es

6 Bladder biopsy with 5 frags. L4Es?

	1 L4E
	5 L4E
	0.67 L4E
	2 L4E

7 Benign TURP submitted in 3 blocks. L4Es?

	4 L4E
	0.67 L4E
	2 L4E
	1 L4E

8 Benign bladder biopsy with 6 frags. L4Es?

	5 L4E
	0.67 L4E
	2 L4E
	1 L4E

9 TURP submitted in 10 blocks. L4Es?

	4 L4E
	2.67 L4E
	3.33 L4E
	2 L4E

10 Benign TURP submitted in 13 blocks. L4Es?

	4.33 L4E
	3.67 L4E
	6.33 L4E
	5 L4E

11 Kidney biopsy with 2 cores for tumour with five immunostains. L4Es?

	1.5 L4E
	1.75 L4E
	2 L4E
	2.67 L4E

12 Prostatectomy with lymph nodes submitted in 40 blocks. L4Es?

	13.33 L4E
	15 L4E
	10 L4E
	20 L4E

13 Prostatectomy with lymph nodes submitted in 55 blocks. L4Es?

	23.33 L4E
	18.33 L4E
	20 L4E
	25.67 L4E

14 Simple nephrectomy for PKD in 20 blocks. L4Es?

	10 L4E
	5 L4E
	12.33 L4E
	6.67 L4E

15 Cytoprostatectomy with incidental prostate cancer submitted in 60 blocks. L4Es?

	22.33 L4E
	30 L4E
	20 L4E
	25 L4E

16 Bladder biopsy consisting of 6 frags with bladder cancer. L4Es?

	5 L4E
	0.67 L4E
	2 L4E
	1 L4E

Here the answers are explained...

1. Benign orchitectomy with 10 blocks - rule 4: 10 blocks x 1 L2/block ~ 10 L2, 10 L2 x 0.33 L4E/L2 ~ 3.33 L4E 2. 12 core prostate biopsy - rule 2: 12 cores x L3/1 core ~ 12 L3, 1 L3 ~ 0.5 L4E, 12 L3 ~ 6 L4E 3. 2 frag bladder biopsy - rule 1: 3 or less frags ~ 1 L4E 4. 2 core kidney biopsy for tumour - rule 2: 5 of less cores ~ 1 L4E 5. 14 core prostate biopsy - rule 2: 14 cores x L3/1 core ~ 14 L3, 1 L3 ~ 0.5 L4E, 14 L3 ~ 7 L4E 6. 5 frags bladder biopsy - rule 1: 1 L4E 7. TURP in 3 blocks - Rule #3: 1 L4E 8. 6 frags bladder biopsy - rule 1: 1 L4E + 1 L4E (>5 frags) ~ 2 L4E 9. TURP in 10 blocks - rule 3: 1 L4E + 7 x L2 ~ 1 + 7 x 0.33 10. TURP in 13 blocks - rule 3: 1 L4E + 7 x L2 ~ 1 + 10 x 0.33 11. 2 kidney biopsy cores for tumour + 5 IHC - Rule #1: 1 L4E + 5 x 0.15 ~ 1.75 12. Prostatectomy with lymph nodes submitted in 40 blocks - Rule #9: 10 L4E + 10 * L2 (for blocks over 30) ~ 10 + 10 x 0.33 13. Prostatectomy with lymph nodes submitted in 55 blocks - rule 9: 10 L4E + 25 * L2 (for blocks over 30) ~ 10 + 25 x 0.33 14. Simple nephrectomy in 20 block rule 4: 20 x L2 ~ 20 x 0.33 15. Cytoprostatectomy with incidental prostate cancer submitted in 60 blocks - rule 9: 10 L4E + 30 * 0.333 + 5 (extra synoptic) 16. Bladder biopsy 6 frags with cancer: 5 L4E (synoptic required)

See also

• Level 4 equivalent.